| NPI | 1518463934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BROWN Administrator 225-291-5492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2025-01-15 |